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General NPI Number Information
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NPI Number | 1407130487
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Entity Type | Individual
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Provider Name | TIMENI STRAUSS COTA
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 1000 W. POPLAR STREET
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City | ROGERS
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State | AR
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Zip | 72756
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Country | US
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Telephone | 479-631-7678
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Fax | 479-631-8886
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Provider Business Mailing Address
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Address Line | 3 SUTTON LANE
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City | BELLA VISTA
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State | AR
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Zip | 72715
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Country | US
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Telephone | 479-426-8145
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Fax | 479-631-8886
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OT-A333
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License Number State | AR
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